In this episode of Blueprint of an Athlete, Dr. Robin West is joined by Dr. Majid Fotuhi, a Harvard and Johns Hopkins-trained neurologist and author of The Invincible Brain. They explore why brain health is the ultimate "command center" for athletic performance and recovery.

Dr. Fotuhi explains that concussions involve diffuse axonal injury (twisting of neurons), inflammation, and micro-hemorrhages. Critically, he notes that concussions can occur from rapid acceleration/deceleration—like a shoulder tackle—even without direct head impact.

A major takeaway is that the brain is highly malleable. Through neuroplasticity, the brain can rewire and grow at any age. While repeated impacts and high stress (cortisol) can shrink the hippocampus, targeted training can actually thicken the brain’s cortex and expand memory centers.

Dr. Fotuhi outlines a foundational approach to building a resilient brain:

1. Exercise: Physical fitness drives brain health.
2. Diet: Avoiding processed "junk" foods that physically shrink the brain.
3. Sleep: Essential for clearing toxins and recovery.
4. Stress Management: Reducing self-induced stress to protect the hippocampus.
5. Brain Training: Improving processing speed and executive function.

Dr. Fotuhi emphasizes that athletes must wait for 100% recovery before returning to play. Returning at 90% capacity significantly increases the risk of both secondary concussions and orthopedic injuries (like ACL tears) due to delayed reaction times.

Key Resource: Dr. Fotuhi’s book, The Invincible Brain, releases in March and provides a 12-week clinically proven program to enhance focus and cognitive resilience.